Individual provider Active NPI

Lindsay A Scholz, MS, LPC, NCC, BC-TMH

  • Professional Counselor
  • Mountainside, NJ
National Provider Identifier
1245775964
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00720700 Issued in NJ
Practice address
1320 Outlook Dr
Mountainside, NJ 07092-1411
Phone
(609) 429-4451
NPI assigned
Jan 4, 2017
Reactivated
May 15, 2020
Last updated
Jun 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 632014 NJ
Professional Counselor 101YP2500X 37PC00720700 NJ Primary

Addresses

Primary practice location

1320 Outlook Dr
Mountainside, NJ 07092-1411

Mailing address

PO Box 2244
Flemington, NJ 08822-2244
Phone (609) 429-4451

Other practice location 1

357 Short Dr
Mountainside, NJ 07092-2018
Phone (908) 313-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207001572 NJ Practitioner - Mental Health Counselor 3375940208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Space Counseling CenterGroup PAC ID 2466859392, 2 clinicians

Practice addresses (Care Compare)

1320 Outlook Dr
Mountainside, NJ 07092-1411
Phone (609) 429-4451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
632014NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Space Counseling Center Mental Health CurrentSince Jun 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1245775964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2244",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088222244",
            "telephone_number": "609-429-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 OUTLOOK DR",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921411",
            "telephone_number": "609-429-4451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "357 Short Dr",
            "address_purpose": "LOCATION",
            "city": "Mountainside",
            "state": "NJ",
            "postal_code": "070922018",
            "country_code": "US",
            "telephone_number": "908-313-9484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLZ",
        "first_name": "LINDSAY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, NCC, BC-TMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "deactivation_date": "2018-02-26",
        "reactivation_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "632014",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00720700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

Verify at the official NPI Registry.